Illustrate by Fig. 1 according to electronically controlled pill of the present invention or delivery system, and after this be described further at this specially.Electronically controlledpill 100 be independently, the Electronic Control delivery system.Described in detail as follows, electronically controlledpill 100 comprises the programmed electronics according to the distribution mode sustained release mechanism ofdispense medicament.Pill 100 is made by biocompatible materials, is biocompatible therebypill 100 passes the needed time quantum of gastrointestinal tract for it at least.This biocompatible materials is preferably at room temperature stable, thereby pill has long storage life.As used herein and employed in the claims, word " medicine " refers to medicine, non-medicinal substances, contrast agent, gas, fluid, liquid, chemical substance, radiological agent, imaging label, be used to monitor the pick off of people's life indication etc.
Electronically controlledpill 100 comprises shell orhousing 102; Be used to store themedicament reservoir 104 of medicine; Be used to distribute the Electronic Control relief valve or thegate 106 that are stored in the medicine in themedicament reservoir 104; Be used to open and close the control and thetiming circuit 108 ofvalve 106; With battery 109.Control andtiming circuit 108 open andclose valve 106 according to the distribution timing mode that presets that further describes below in the whole distribution time period.To preset the distribution timing mode be pre-programmed and physiological activity that be not vulnerable to the people and state, emotion, the influence of time administration etc. early.
Shell 102 is preferably made by the material that is used to make implantable devices, and implantable devices comprises pacemaker wires and heart prosthesis equipment, decides auxiliary facilities as artificial heart, cardiac valve, intra-aortic oalloon and the heart.These materials comprise Pellet hane 2363 polyether urethane (polyetherurethane) series material that can obtain from Dow Chemical Company and can be from Polymer Technology Group, the Elas thane polyether urethane that Inc. obtains.Other material comprises also can be from Polymer Technology Group, PurSil and CarboSil that Inc. obtains.
Valve 106 the distribution time period each constantly the opening of (for example per second) depend in thetiming circuit 110 of control andtiming circuit 108, programme preset the distribution timing mode.Distribution the time period be defined as from when electronically controlledpill 100 is placed into people's oral cavity to the time period that the medicine that is stored in themedicament reservoir 104 all is distributed, perhaps spent one day (24 hour time period).This 24 hour time period slightly conversion to solve stomach and colon in differential absorption.
Shown in the exemplary preset distribution timing mode as shown in Figure 2, at distribution time period A, when D and F, the same amount of distribution medicine in the whole time period of these distribution time periods at each.Therefore, during these distribution time periods,valve 106 is stayed open so that fixed valve openings (or opening frequency) to be provided by control andtiming circuit 108, thereby is distributing time period A, and each of D and F distributed the medicine of precognition amount constantly.Distribute about same amount medicine constantly in each of distribution time period A and F.During distribution time period D, than during distribution time period A and F, distributing more a large amount medicine.
Yet,, when C and E, as shown in Figure 2, distribute not commensurability medicine constantly at each at distribution time period B.Therefore, at distribution time period B, during C and the E, valve open is by control andtiming circuit 108 and changing, to be distributed in the medication amount that each changes constantly.During distribution time period B, the medication amount of distribution increases than previous moment during each constantly; And at distribution time period C, during the E, the medication amount of distribution reduces than previous moment during each constantly.
According to the present invention, during the whole distribution time period, to control and timingcircuit 108 programme makevalve 106 close and by-pass valve control 106 openings with the size of by-pass valve control opening.By by-pass valve control opening size or valve open frequency, as startup by the microfluidic systems of ink-jet printer etc., each medication amount that discharges during (for example per second) constantly that electronically controlledpill 100 can be controlled at the distribution time period exactly.
By the reference time release mode, as by the pattern shown in Fig. 2, be informed in each medication amount that discharges constantly or approximate quantity, can determine drug accumulation amount exactly in the special time period release of distribution time period.For example, can determine in the first six hour of distribution time period, distribution preceding two hours of the time period to the last hour, the drug accumulation amount that discharges during the whole distribution time period etc.Also can determine the medication amount of distributing during the particular moment of distribution time period, as inpill 100 administrations during 15 minutes latter two hours.
Preset the distribution timing mode and programme and to change to another from an electronically controlledpill 100, to have the different distribution timing modes that preset by control andtiming circuit 108 to each pill 100.Therefore, two individualities can utilize two different distribution timing modes that preset to carry out the administration of same medicine.Can adopt look-up table to determine timing mode, one or more features that this look-up table makes the people are with one or more to preset the distribution timing mode relevant.
For example, look-up table can make in age, sex, the body weight etc. one with to preset the distribution timing mode relevant.Then can carry outelectronic pill 100 administrations to the people, thiselectronic pill 100 can be by the programming of determining of distributing in the timing mode of presetting.Therefore,pill 100 of the present invention can adopt different distribution timing modes that Different Individual is carried out administration with a kind of medicine.
In addition, for pills or remember the old young crowd of pills difficulty, preset the distribution timing mode and be a kind of minimizing at special time period, for example the method for pills quantity during 24 hour period.The whole medicines that need be during special time period individuality be carried out administration can be provided in thepill 100, and thispill 100 has and is used for presetting the distribution timing mode according to the amount of pre-determining dispense medicament during the special time period.If the effective dose in pill is not enough, then can adopt two electronically controlled pills distributions with a kind of medicine, one of them pill can not begin dispense medicament till another pill has been distributed its medicine, and promptly its distribution time period passes by or finishes.In addition, the present invention has reduced in as places such as hospital, sanatorium and veterinary institutes and gives pill the needed amount of labour.Give the number of times of pill by minimizing, can also reduce the administration margin of error.
Referring to Fig. 1, control andtiming circuit 108 comprise to presettiming circuit 110, openingtiming device mechanism 112,release controller 114 and thepressure mechanism 116 that the distribution timing mode is programmed.Openingtiming device mechanism 112 starts timing circuit 110.Battery 109 is for control andtiming circuit 108 is powered so that each electromechanical component is being distributed the time period manipulate.
In a preferred embodiment, openingtiming device mechanism 112 has an induced liquid of being used for, micro electronmechanical (MEM) mechanism of the pick off 118 that exists as water, saliva etc.When pill is being taken or during administration, pick off 118 is sensed the existence of liquid, and the signal of telecommunication is sent to timing circuit 110.In an alternative embodiment, opening timing device mechanism is a button, when this button is pressed the signal of telecommunication is sent to timing circuit 110.This button was pressed before human or animal's administration atpill 100 just.
In another embodiment, this can realize the switch closure circuit by making the water-miscible coating's dissolving that separates two electrical pickofves.In another embodiment, by patient or caregiver's manual trigger switch.
In case receive the signal of telecommunication,timing circuit 110 begins distribution is carried out timing the time period and by sending signals and come it is controlled to discharging controller 114.Timing circuit 110 comprises to preset the microprocessor of distribution timing mode programming, it is used for this signal is transmitted (relay) to dischargingcontroller 114, thereby basically according to presetting the distribution timing mode, as by the pattern shown in Fig. 2, dispense medicament during the distribution time period.
The voltage of signals level transmits the valve openings size to be controlled at each medication amount of distributing constantly of distributing the time period according to distributing timing mode by shown in Figure 2 presetting basically.In an alternative embodiment, bytiming circuit 110 to discharging that signal thatcontroller 114 sends only transmits the opening and closing ofvalve 106 and the size of not transmitting valve openings.
Discharge controller 114 and preferably can and generate the micro electronmechanical mechanism of the signal that is used for valve-off 106 and by-pass valve control opening size orvalve 106 opening degrees (according to the voltage level of received signal) toElectronic Control valve 106 from the timing circuit received signal with variable voltage level.Under the simplest situation,discharging controller 114 is to provide voltage to cause its transistor that opens or closes or D/A circuit tovalve 106.
Electronic Control valve 106 preferably can be by the micro electronmechanical mechanism of the signal electric control with variable voltage level.Each voltage level corresponding to the different size opening of valve openings and voltage level (or no-voltage, i.e. no signal) fully corresponding to pent valve 106.Valve 106 in operation with ink-jet printer in adopt according to the valve type of valve open amount distribution ink seemingly.Valve 106 is characterised in that it is a kind of jet valve that is used for controlling miniaturized system micro liquid or gas motion.
In an alternative embodiment,reservoir 104 is microsyringes, thus be applied on the injector push-rod pressure by withshell 102 in the opening needle point that carries out the microsyringe of liquid communication come dispense medicament.In this embodiment, opening replaces valve 106.Yet should consider, place test valve basis presets the drug leakage of distributing during timing mode should not carry out the time of distributing section in the distribution time period to avoid at the needle point place of microsyringe, and/or is used to be controlled at the medication amount of distributing during the distribution time period.
Pressure mechanism 116 is positioned atmedicament reservoir 104 outsides, to guarantee drug targeting valve 106.Under the simplest situation,pressure mechanism 116 is as shown in figs. 1 and 3 biodegradable spring preferably.Pressure mechanism 116 can also be spring, the piston of another kind of type or any mechanism of being used to carry outpressure mechanism 116 functions.That is to say, be used to carry out whenvalve 106 is opened and exert pressure piston-type member 130 is pushed to the function ofvalve 106 to piston-type member 130.Along with piston-type member 130 is shifted tovalve 106, the pressure in thereservoir 104 causes medicine to be distributed as shown in Figure 3.
In an alternative embodiment,medicament reservoir 104 remains under the pressure guaranteeing the correct medication amount of degree of opening distribution according tovalve 106, and need not pressure mechanism 116.Can be by pressure sensor monitoring pressure, this pressure transducer is passed to control andtiming circuit 108 with the pressure that is monitored.If pressure is beyond preset range, thencircuit 108 adjustable valve door openings are to increase or to reduce pressure.Certainly, the pressure ofreservoir 104 can be different for every kind of medicine and be can be dependent on the viscosity of medicine.
What can consider is, can be bycircuit 108 estimation look-up table or other data structures, andcircuit 108 makes pressure, valve openings degree and other parameter correlation such as the time period in the distribution time period, be used for determining by known pressure, for example, the valve openings degree, perhaps vice versa.Based on the information that obtains by the estimation look-up table, the adjustable then seamless power ofcircuit 108, valve openings etc.Can carry out these adjust with follow the trail of basicallypill 100 in, programme preset the distribution timing mode.
According to the present invention, during special time period, for example, during 24 hour time period, all medicines that need take can be provided in one or more electronically controlledpills 100, and described pill is taken simultaneously.Like this, therapy system of the present invention provides by one or more electronically controlledpills 100 and has carried out two or more medicines of administration simultaneously.Eachpill 100 has independently, presets the distribution timing mode so that according to distribution mode dispense medicament in vivo.This distribution mode can change to another person from a people based on everyone health, age, sex, disease etc.
Therapy system of the present invention makes individuality take his whole medicines in same time basically, for example in the morning or evening, rather than the different time during special time period (for example 24 hour time period).Therapy system of the present invention also make the caregiver can to each patient of hospital or the habitant of sanatorium (perhaps asylum or veterinary in animal) only carry out once all administrations of medicines every day.Thereby system of the present invention has avoided the caregiver need wake or bother patient or habitant for the sole purpose of administration, and perhaps going to follow the tracks of for the sole purpose of administration may be the different local patient or the habitant of hospital or sanatorium.
The present invention also provides external member 200 as shown in Figure 4, and this external member 200 has the two or more electronically controlledpills 100 that are encapsulated in the container 202.Eachpill 100 is placed in the recess of container 202 or the recess 201 and eachpill 100 have programming within it independently, preset the distribution timing mode.Thepill 100 of external member 200 is individual (or animal) customization, thereby can provide container 202 to individuality or his caregiver by doctor or pharmacist etc.
Be provided with timing table 204 in container, when eachpill 100 of its indication external member 200 should be taken, for example the time and date in this week.Timing table 204 comprises zone 206, can write each specific date this zone doctor, pharmacist etc. and answer time and the afternoon or the morning of pills 100.May need to take two ormore pills 100 for the special time place fix the date, as shown in Figure 4, wherein each pill has the different pharmaceutical that is stored in wherein and the different distribution timing modes that preset.Like this, individuality can be taken and be indicated as allpills 100 that should take to the special time place that fixes the date, and can not take the same time of anyother pill 100 up to next day.
Because what eachpill 100 of external member 200 had a programming presets the distribution timing mode, evenpills 100 at one time, it also is inessential can interacting from the medicine of each pill 100.For example, apill 100 of external member 200 can get started distribution, and anotherpill 100 of external member 200 can not begin distribution after three hours.
Described embodiments of the invention are exemplary and nonrestrictive, and are not to represent each embodiment of the present invention.Under the situation that does not depart from the spirit or scope of the present invention of illustrating by the character express of following claim and generally acknowledged legally equivalents, can carry out various modifications and change.